In either case, it is presumed that the prescribed dose is not sufficient to maintain plasma levels above those needed to prevent relapse, rebound or withdrawal symptoms over the entire course of the interdosing interval. Risk Of Dose Reduction Withdrawal reactions may occur when dosage reduction occurs for any reason.

This includes purposeful tapering, but also inadvertent reduction of dose eg, the patient forgets, the patient is admitted to a hospital. CNS Depression And Impaired Performance Because of its CNS depressant effects, patients receiving XANAX should be cautioned against engaging in hazardous occupations or activities requiring complete mental alertness such as operating machinery or driving a motor vehicle. For the same reason, patients should be cautioned about the simultaneous ingestion of alcohol and other CNS depressant drugs during treatment with XANAX.

Risk Of Fetal Harm Benzodiazepines can potentially cause fetal harm when administered to pregnant women. If XANAX is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus.

Because of experience with other members of the benzodiazepine class, XANAX is assumed to be capable of causing an increased risk of congenital abnormalities when administered to a pregnant woman during the first trimester.

Because use of these drugs is rarely a matter of urgency, their use during the first trimester should almost always be avoided. The possibility that a woman of childbearing potential may be pregnant at the time of institution of therapy should be considered. Patients should be advised that if they become pregnant during therapy or intend to become pregnant they should communicate with their physicians about the desirability of discontinuing the drug. Drugs that inhibit this metabolic pathway may have a profound effect on the clearance of alprazolam.

Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: Other medications can affect the removal of alprazolam from your body, which may affect how alprazolam works. Examples include azole antifungals such as itraconazole , ketoconazole , cimetidine , certain anti-depressants such as fluoxetine , fluvoxamine , nefazodone , drugs to treat HIV delavirdine , protease inhibitors such as indinavir , macrolide antibiotics such as erythromycin , rifamycins such as rifabutin , St.

John's wort, drugs used to treat seizures such as phenytoin , among others. Tell your doctor or pharmacist if you are taking other products such as opioid pain or cough relievers such as codeine, hydrocodone , alcohol, marijuana , other drugs for sleep or anxiety such as diazepam , lorazepam , zolpidem , muscle relaxants such as carisoprodol , cyclobenzaprine , or antihistamines such as cetirizine , diphenhydramine.

Check the labels on all your medicines such as allergy or cough -and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking. Should I avoid certain foods while taking Xanax? Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing , call Otherwise, call a poison control center right away. US residents can call their local poison control center at Canada residents can call a provincial poison control center.

Symptoms of overdose may include: Notes Do not share this medication with others. It is against the law. Missed Dose If you miss a dose, take it as soon as you remember. How should I take Xanax? Take Xanax exactly as prescribed by your doctor. Follow all directions on your prescription label. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms. Never share Xanax with another person, especially someone with a history of drug abuse or addiction.

Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law. Do not crush, chew, or break a Xanax extended-release tablet.

Swallow the tablet whole. Call your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms. Do not stop using Xanax suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. If you use this medicine long-term, you may need frequent medical tests. Store Xanax at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Generic drugs are produced and distributed without patent protection. A generic contains the same active ingredients as the brand pills and is identified by its chemical name rather than its brand name. Generics are considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. Therefore, generics are identical to brand pills in dose, strength, route of administration, safety, efficacy, and intended use.

And why does the name printed on the pill differ from the branded one? The contents of generic pills and brand name medicines are exactly the same. The only difference is the name.

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